MEDICATIONS NURSING ENVIRONMENT

MEDICATIONS NURSING ENVIRONMENT is a high requirement to maintain the various nursing techniques to carry out the better services among several care services receiver. In order to carry out this process, there is a high requirement to maintain the monitoring and administrating the needs of intravenous medications in the nursing environment. In this assessment, the main purpose lies with carrying out the various techniques used to impose better medications in the nursing environment. In this assessment, various journals help the learner to know the required medications needs among the care service receivers. In this, there are various journals deals with different process of medication required to carry out in the health service organizations. Moreover, there are various techniques and procedures that deals with medical terms.

Journal

Usual procedures for managing of certain things
A Verbal or telephonic order
In order to maintain the procedures in verbal and telephonic order there is a high necessity to follow certain procedures to make a proper safety on certain principles. This telephonic order or verbal are accepted in the registered area of nursing. This order is accepted among the licensed or registered nurse to make a list of medicine required by the care service receiver. Few procedures need to be maintained by the authority at the time of receiving the verbal or telephonic order (Nguyen et al. 2013). The authorized person needs to identify the person for whom the medication is made  by the health service organizations. The receiver needs to verify order of the prescriber of medicine before giving the order. That order needs to be countersigned by the authorized person after getting proper communication with the given orders.
A Standing order
The standing order lies with the Act of 1946 that helps to carry out the work properly for providing better medicine for the prescribed prescriptions given by the health service providers. Moreover, this standing order makes the better  working of the entire health organizations.  This belongs to the entire working of the health company to make better influences among the workers, nurses.
PRN orders:
 This PRN orders is applied among the nurse, pharmacist and medical staff members to identify the proper medicine required by the care service receiver to improve the health conditions. The main procedures lie with the PRN medical drugs that need to be dispensed among the care service receiver to impose better treatments of health. This order needs to enter in the system of the computer by getting treatments from physicians and required to deliver dispense in the stock of floor of the ward (O'Byrne, Kozub & Fields, 2016). This order is valid only for 24 hours and needs to dispense to the physicians. The PRN medications might include with name of the dose, interval, indication and duration required to stop the dose.

Journal 1.2

1. a) Listing out of seven routes of medication administration
2. i) The route of the medication administration includes with the buccal area that lies in the inside area of cheek.
3. ii) It enters from the enteral area that lies with directly into the intestine or stomach area.

iii) This includes with the inhalable that lies with person breathing area that is passed through mask and tube.
iii) This enters from infused area this is basically injected from the vein of the person.

1. iv) This route includes from the intramuscular area and this could be passed with the help of injection that is transmitted through the muscles.
2. v) Another route includes from the intrathecal and the medication is processed through the spine with the help of injections.
3. vi) The route includes from the oral area and medication is processed through the mouth of the person with the help of swallowing of capsule, tablet etc (Aguerre et al. 2016).

vii) Another route lies from the nasal areas and the medical procedure is carried out from the nose with the help of pump or spray by providing medicine among the infected person.

1. b) The abbreviations S/C not been used by the medical officer at the time of mean subcutaneous.

The S/C abbreviations not been used by the medical officer at the time of mean subcutaneous as their lies various term from the abbreviations S/C and medical officer performs several roles and responsibility to carry out the medical procedures properly. Moreover, the S/C abbreviations includes with the various options that needs to be carried out the in the medical terms and the medical officer does not recognize the particular terms.

1. c) The abbreviations µg not used in the medical orders

The abbreviations µg is not used in the medical orders, as the units are too small to order the required medicines. Moreover, in various regions different units are used to order medicine from the pharmacist (Shea, 2017).

Journal 2.1

1. Describe the types of fluid required in the medication by the physician in order for the patient.

The patient is suffering from the dehydration and already IV therapy has been conducted upon the person. In this situation, a proper fluid treatment is required to make a proper circulation of flow of oxygen among the patients by the physicians. There are various fluids treatments lies to cure the diseases that includes with isotonic, hypertonic, hypotonic and refrigerator of colloid solutions. In this scenario, the physician needs to conduct with hypertonic fluid solutions. In the hypertonic fluid solutions helps to maintain the body fluid from the higher pressure.

2. Describe the clinical conditions of dehydration affecting the ability to locate and providing access a vein for IV therapy.

In this situation the clinical conditions of dehydration would make a body of the patients in a weak stage (Kotzur, 2014). Moreover, by applying proper treatments from the vein would help the patients to recovers from the dehydrations. However, the physicians needs to conduct with the proper accessing with the patients airways, breathing, circulation and applying high flow of oxygen. There is a high necessity to apply IV fluid from the veins to maintain the better conditions of the patients. In this situation, hypertonic processing of the fluids into the body through the veins would help the patients to recover from the dehydrations.
 Journal 2.2
Providing some advantage of using access devices
There are various advantage required to carry out the access devices in the venous to maintain the regular lines of IV. There are various advantages that lies with the access devices of venous and are followed as:

1. i) The access devices provides enough benefit to solve out various problems to make a high medication from the veins by maintain the lines of regular IV. There are various areas that need to be focused that includes with various areas of veins that lies with the clotting of blood and certain amount of problems that arise from the veins.
2. ii) There are various areas that lies with the access of devices with the scarring and inflammation of various areas that are basically occurred in the vein areas that lies with entering of various needles to provide medication (Jones & Baas Rubarth, 2014).

iii) Moreover, the access devices provides huge comfort and mitigate the anxiety level among the patients that helps at the time of using of access of venous devices.

 Journal 3.1

1. Provide the mls required per hour of the IV Normal Saline to deliver to Mr Bourke

 Mr Bourke is suffering from the Aplastic Anemia for several days. In order to determine the IV Normal Saline required in the body of Mr Bourke lies with:
1,000 ml/ 8hr = 125 ml/hr

2. Mls required in the Gentamycin to administer Mr Bourke

The mls required in the Gentamycin to administer Mr Bourke lies with :
80 mg - 2 ml
1 mg -  2 ml/ 80
300 mg – 2/ 80 * 300 = 7.5 ml/ hr

3. Calculating the drip rate (dpm) for administrating Metronidazole to Mr Bourke using a micro (20 dpm) in the infusion set as follows

Volume (ml)/ time (min)* drop factor/ 1= 1200/ 600 min* 20/1 = 40 dpm

MEDICATIONS NURSING ENVIRONMENT

Main purpose of the medication alerts

The main purpose of the medication alerts lies to inform the health safety information to provide better services in the health organizations. Moreover, the alerts provides with the various problems that arise from the health safety problems. The medication alerts provides better facilities and ensures better services among the several care service receivers. The medication alerts ensure better learning facility by providing better medication. In every alert systems of medication indicates with the better facilities and service to ensure better treatments among the care service receiver (Cardenas‐Garcia et al. 2015). In the medication alert there lies with various actions and responsibility to ensure the better performance of health organization. There are various alerts of medication that includes with various areas that make the growth of health organizations.

 Journal 4.2

As an EN/ Div. 2 Nurse in the current working place, administration of medications
As described by the EN or Div 2 Nurse there are various areas that needs to be focused to carry out the better medication among the care service receiver. In the administration of medications includes with the exact patients, exact treatments and exact dose required to cure the diseas for accurately. In this stage, nurse needs to implement proper medical treatments to cure the diseases properly. There is a high necessity to maintain the rights of medication by carrying out the proper medications treatments (Moak  et al. 2016).

Journal 4.3

Process of Therapeutic Goods regulate
There are various steps that needs to be carried out by the Therapeutic Goods regulation for ensuring better services in the Australian Register for enabling good services. This includes with the advertisement, appearance of product and providing guidelines.

 Journal 4.4

Application of National Health Act
The National Health Act 1953 is an Act, which is a Parliament of Australian Act. It is related to the terms of pharmaceutical, sickness and benefits of hospitals and medical and dental services. Application of this act helps in benefiting the hospitals, the patients. It also helps the doctors who practices dental. The medical shops who sell medicines this act is applied to them as well so that they operate within the terms and conditions of the act. They cannot sell medicines more than the price that is printed on the cover.

 Journal 5.1

The three important points that must be given to a patient who you are about to take a course of oral medication
It is important to take medicines like pills and syrups, which is prescribed by the doctors properly. The dosage must be correct the timings and the number of tablet that a patient must take must be accurate and a doctor must prescribe it.  The three most important points of taking oral medicines are:

• The patient is advised to take the accurate dose of medicine that is prescribed by a doctor that will help the patient to recover fast (Elliott, 2017).
• They must make the patients understand the timings on which the medicine must be taken and the number of pills the patient must take.
• The patients must also be advised how the medicines must be taken to get better effect.

 Journal 5.2

Management of delayed adverse drug reaction
Many studies show that the drug reaction affects a person after a long time. These reactions of drug are very dangerous and harmful and it affects a person so badly that if it is not diagnosed on time then it can even take their life. Some of the drugs react in a person’s body when they are aged and that time is becomes impossible to do king kind of diagnosis to cure the disease. If one gets such kind of patient then they must first perform the test that will confirm that the patient is having the problem or not. After completing the required test, they can go ahead with the treatment that can cure the drug reaction within the patient (Wu & Cunningham,  2014).
Management of acute adverse drug reaction
When a patient have a drug reaction immediately and is dangerous and harmful, the medical professionals must perform the following steps:

• They must first identify the early signs and symptoms of acute hypersensitivity reactions.
• They must also explain the proof based treatment and medical arrangement of hypersensitivity reactions.
• They must also discuss the preventive measures with the patients of hypersensitivity reactions.

  Journal 5.3

The five assessments you would attend on a client receiving peripheral therapy
Hospitals patients who need IV fluid vary in terms of their current fluid. The electrolyte condition and they are likely to be psychological reactions to IV fluid therapy. The characteristics of medical assessment that is required to be monitored, and evaluated the IV fluid and electrolyte status. The GDG has agreed to that a formal medical proof, which is approached to this question that was not suitable for the foundations and justifications for each of the characteristics of assessments that are engraved and the principles of protocols for intravenous fluid treatment (Gahart & Nazareno, 2015).  On the other hand, the GDG has find out some questions on some precise problems of labs in the hospitals or wards based evaluations in the hospitals, relevance to the evaluations and supervising the assessment are the three points that needed to be in the areas where they can perform high disparity tests. This was given first priority by the GDG for formal medical proof that can be reviewed to give information about the decision that is been made. The three areas were:

• Measurement of body weight
• Urine checkup and recording the fluid balance
• Serum chloride levels are measured

 Conclusion:

In this assessment, it has been discussed about the administration and evaluation of intravenous medications in the nursing surroundings. The assessment which is done is explains the necessity of taking oral medicines in proper way that will help the patients to be cured faster. The adverse effect of the drug is also been discussed in this assessment. The acute effect of the drug that the patients and the doctors both faces is also been discussed. Advantages of using assess device is also been discussed in detail. The requirement of IV fluid in the medicines which is also been discussed above in the assessment.

References:

Aguerre, J. P., Illarramendi, B. L., Iglesias, S. S., Garay, N. T., Ordonana, G. C., & Alonso, M. J. T. (2016). U.S. Patent No. 9,283,146. Washington, DC: U.S. Patent and Trademark Office.
Cardenas‐Garcia, J., Schaub, K. F., Belchikov, Y. G., Narasimhan, M., Koenig, S. J., & Mayo, P. H. (2015). Safety of peripheral intravenous administration of vasoactive medication. Journal of hospital medicine, 10(9), 581-585.
Elliott, W. J. (2017). Hypertensive Emergencies and. Hypertension: A Companion to Braunwald's Heart Disease E-Book, 427.
Gahart, B. L., & Nazareno, A. R. (2015). 2016 Intravenous Medications: A Handbook for Nurses and Health Professionals. Elsevier Health Sciences.
Jones, L., & Baas Rubarth, L. (2014). Recommendation Intravenous Infiltration Pathway.
Kotzur, A. (2014). U.S. Patent Application No. 14/435,051.
Moak, J. P., Leong, D., Fabian, R., Ehrenberg, V., Jarosz, E., Toney, C., ... & Darbari, A. (2016). Intravenous hydration for management of medication-resistant orthostatic intolerance in the adolescent and young adult. Pediatric cardiology, 37(2), 278-282.
Nguyen, H. T., Pham, H. T., Vo, D. K., Nguyen, T. D., van den Heuvel, E. R., Haaijer-Ruskamp, F. M., & Taxis, K. (2013). The effect of a clinical pharmacist-led training programme on intravenous medication errors: a controlled before and after study. BMJ Qual Saf, bmjqs-2013.
O'Byrne, N., Kozub, E. I., & Fields, W. (2016). Reducing continuous intravenous medication errors in an intensive care unit. Journal of nursing care quality, 31(1), 13-16.
Shea, K. (2017). Medication STAT! How We Can Improve Safe Intravenous Medication Delivery in Critical Situations. Canadian Journal of Critical Care Nursing, 28(2).
Wu, H. Y., & Cunningham, B. T. (2014). Point-of-care detection and real-time monitoring of intravenously delivered drugs via tubing with an integrated SERS sensor. Nanoscale, 6(10), 5162-5171.